CMS releases updated managed-care regulations

Description

Abstract: The CMS recently issued a final rule that updates the Medicaid managed-care regulations for the first time in more than a decade. The rule will affect Medicaid managed-care plans and their beneficiaries as well as the hospitals that serve these beneficiaries. This article explains the details of how the final rule phases out states’ abilities to use pass-through payments and discusses several other relevant provisions of which hospitals need to be aware.